子宫肌瘤与乳腺良性疾病关系分析

目的作为育龄女性中最常见的良性肿瘤,子宫肌瘤病因可能与体内雌二醇、孕酮水平异常有关,而乳腺作为雌、孕激素靶器官会随着女性正常生理周期变化而发生周期性的小叶增殖。对子宫及乳腺超声检查数据进行回顾性分析,探讨子宫肌瘤患者乳腺良性疾病发病情况。方法整理分析2017年1月-2019年12月在天津市滨海新区妇女儿童保健和计划生育服务中心同时做子宫附件及乳腺超声的265例患者检查结果,基于子宫附件超声结果分为有子宫肌瘤的观察组96例,和无子宫肌瘤的对照组169例。比较两组乳腺增生结节、乳腺纤维瘤及乳腺增生的发病情况。结果观察组乳腺增生结节患病率为37.5%,明显高于对照组的21.3%,差异有统计学意义(P<0.05)。两组人群中乳腺增生及纤维瘤发病率比较,差异无统计学意义(P>0.05)。结论子宫肌瘤患者更易合并乳腺实性增生结节,这一结论为临床疾病筛查及预防保健提供可靠依据。

Analysis of relationship between uterine fibroids and benign breast diseases

Objective As the most common benign tumor in women of childbearing age,the cause of uterine fibroids may be related to abnormal levels of estrogen and progesterone in the body,and the breast,as the target organ of estrogen and progesterone,will also produce periodic lobular proliferation with the change of the normal physiological cycle of women.Retrospective analysis was made on the data of ultrasound examination of uterus and breast to discuss the incidence of benign breast diseases in patients with uterine fibroids.Methods Two hundred and sixty five cases of patients with uterine appendages and breast ultrasound in Tianjin Binhai New Area Women and Children Health and Family Planning Service Center from January 2017 to December 2019 were analyzed.Based on the results of uterine appendages ultrasound,they were divided into observation group(96 cases) with uterine fibroids and control group(169 cases) without uterine fibroids.The incidence of breast hyperplasia nodules,breast fibroma and breast hyperplasia were compared between the two groups.Results The prevalence rate of hyperplasia nodules in the observation group was 37.5%,which was significantly higher than 21.3% in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in incidence rate of breast hyperplasia and fibroma between the two groups(P>0.05).Conclusion Patients with uterine fibroids were more prone to breast hyperplasia nodules,which provided a reliable basis for clinical disease screening and prevention and health care.